[Image courtesy of Wheeless' textbook of Orthopedics]

Proximal focal femoral deficiency comprises a group of conditions with varying severity. Most radiologists are familiar with the disease when manifested by aplasia of the femoral head, but the entire femur may be hypoplastic. 50 % of cases are associated with fibular hemimelia. Treatment is variable depending on the degree of aplasia, but iliofemoral fusion, prosthesis placement, leg lengthening, and contralateral epiphysiodesis are employed.

REFERENCES

• Court C, Carlioz H. Radiological study of severe proximal femoral focal deficiency. J Pediatr Orthop. 1997 Jul-Aug;17(4):520-4.

• Tonnis D, Stanitski DF. Early conservative and operative treatment to gain early normal growth in proximal femoral focal deficiency.
  J Pediatr Orthop B. 1997 Jan;6(1):59-67.

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